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Organization

ROGER ALDERSON, MD,PA

Active
Other names
Plastic Surgery Clinic of Northwest Arkansas
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROGER WILLIS ALDERSON MD (PRESIDENT OF ROGER ALDERSON MD,PA)
(479) 636-4325
Entity
Organization

Contact information

Practice address
2 HALSTED CIR, ROGERS, AR 72756-3184
(479) 636-4325
(479) 636-4329
Mailing address
2 HALSTED CIR, ROGERS, AR 72756-3184
(479) 636-4325
(479) 636-4329

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
C7239
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142651002
AR
Enumeration date
07/19/2009
Last updated
07/19/2009
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